To evaluate the hemostatic and analgesic effect of using gauze with Bosmin or Gelfoam after anal surgery.
Hemorrhoidectomy and fistulotomy these two types of anal surgery are common surgeries in colon and rectal surgery division in Shuang Ho hospital. For these patients underwent surgical treatment, some surgeons used gauze with Bosmin for hemostasis and analgesia after surgery, and other surgeons used Gelfoam. These choices were often determined by surgeon's personal preference according to their experiences. Shuang Ho hospital has top three quantity of hemorrhoidectomy in Taiwan. So, a randomized controlled trial is conducted to evaluate the difference between hemostatic agents use after anal surgery.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
DOUBLE
Enrollment
292
Use Gelfoam as a hemostatic agent after anal surgery.
Use bosmin gauze as a hemostatic agent after anal surgery.
Taipei Medical University Shuang-Ho Hospital
New Taipei City, Taiwan
Post-operative pain
Record maximum pain score (visual analog scale, 0-10) from post-operative day 0 to day 7.
Time frame: 0-7 days
Analgesic agent use
Daily consumption of oral analgesics from post-operative day 0 to day 7
Time frame: 0-7days
Incidence of post-operative bleeding
Postoperative delayed bleeding was defined as (1) when the bleeding required surgical intervention or (2) when hospital re-admission was warranted after patient discharge.
Time frame: 0-30 days
Incidence of urinary retention
Urinary retention was defined as patients requiring Foley catheterization during the hospital stay
Time frame: 0-7 days
Incidence of surgical site infection
Surgical site infection was defined as hospital admission for infection management or need for surgical intervention to manage the wound.
Time frame: 0-30 days
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